Kathryn M Lesiczka, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21765 Issued in MA

Practice address

11 Eagle Rock Ave
East Hanover, NJ 07936

Phone

(973) 887-0115

Fax

(973) 887-0775

NPI assigned

Sep 3, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marathon Physical Therapy and Sports Medicine, LLCGroup PAC ID 3779554738, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Norton, MA
  • NPI 1225161193
  Medicare reassignment Care Compare group NPD
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1780019232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250E MAIN ST",
            "city": "NORTON",
            "state": "MA",
            "postal_code": "027662436",
            "telephone_number": "857-444-0999",
            "fax_number": "508-285-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-887-0115",
            "fax_number": "973-887-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESICZKA",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsvetelina Dimitrova Koffman, DDS
• Fayge L Kolodny, BCBA, LBA
• Lisa White Krueger, PHARMD
• Zahava Kunstler, OTR/L
• Tehilla Leifer-Bernstein, DPT
• Life Medical Group, PC
• Life Mobile Imaging, Inc
• Julie T Lin, M.D.
• Sofia Litos, PHARM.D.
• Livia Health at East Hanover LLC

• Physical Therapist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.